Krukenberg tumor of Diagnosis and Treatment.docVIP

 PAGE \* MERGEFORMAT 13 Krukenberg tumor of Diagnosis and Treatment Keywords: Krukenberg tumor Krukenberg tumor (Krukenberg tumor) has been described since 1896, has undergone a century, the tumor has well-known clinical and pathological doctors. Krukenberg tumor with signet-ring cell is associated with ovarian stromal hyperplasia is characterized by pseudo-sarcoma metastatic adenocarcinoma. Its incidence rate is about 0.7% [1], accounting for 6% of ovarian cancer to 28% [2-4], about 60% ~ 80% of the tumor with bilateral ovarian metastasis, the disease occur in the pre-menopausal women, mainly due to ovarian function during this period strong, rich blood supply, more suitable for the growth of metastases. Generally considered to be mucinous cell carcinoma of the gastric serosa invasion thoroughly after shedding the formation of cancer cells grown in the ovary. Woodruff et al [5] proposed ovarian Krukenberg tumor histological criteria: ① tumor growth in ovarian; ② microscope, signet-ring cell-like mucus; ③ accompanied by sarcomatoid ovarian stromal infiltration. Diagnosis of a Krukenberg tumor 1.1 Clinical manifestations A history of bowel and breast cancer, ovarian cancer bilateral occurrence, it should first think of the possibility of Krukenberg tumor. In patients with abdominal mass, mostly for bilateral nature, or have abdominal distension, ascites, some patients showed menstrual changes. The tumor and normal ovarian function has a good ability to bear children, in order to improve the diagnostic rate, where found in the annex to bilateral solid tumor, with or without ascites, should be thought of the possibility of metastatic carcinoma. 1.2 imaging examination Krukenberg tumor mass in the form of multi-profile than the rule, Duocheng kidney-shaped, boundary echo clear and complete; non-uniform internal echo, we can see many different sizes, showing scattered sac-like structure; Krukenberg tumor in pairs lateral